The Commons On Marice

LBN: Ilhc Of Eagan, Llc
The Commons On Marice is an health care organization with primary practice located at 1380 Marice Dr , Eagan MN 55121-9748. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Ilhc Of Eagan, Llc can be contacted via phone (651) 688-9999, or through Gustafson, Denise via phone (952) 361-8000.

Contact Information

Primary practice address
1380 Marice Dr Eagan MN 55121-9748
Phone: (651) 688-9999
Fax: (651) 688-7888
Website:
Map and Directions
Authorized official contact:
Name: Gustafson, Denise
Phone: (952) 361-8000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 329867 Minnesota

Profile Details

NPI number 1578504437
LBN Legal business name Ilhc Of Eagan, Llc
DBA Doing business as The Commons On Marice
Authorized official Gustafson, Denise
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2006
Last updated Jul 11th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578504437 NPPES
Minnesota MEDICAID 344718900

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